Intradiscal Ozone for Herniated Disc

Oxygen-ozone therapy is an option to treat lumbar disc herniation that has failed to respond to conservative management, as a recourse before surgery or when surgery is not possible.

Treatment consists of an injection of oxygen and ozone to treat a herniated disc. There are two types: an injection outside of the disc and an injection directly into the disc. The ozone injection directly into the disc reacts with the inner disc material to reduce inflammation, shrink the disc and the hernia.

An outpatient procedure, it is performed using a local anesthesia. A needle is guided to the disc under fluoroscopic (motion x-ray) and a mixture of oxygen and ozone is injected directly into the herniated disc. After the procedure, patients will lie on their back (or either side) for approximately six hours to keep pressure off the disc and keep the ozone from leaking out while it “reacts” with your inner disc material.

Patients will need an MRI report and the images for this procedure. An ideal candidate has a contained, soft, herniated disc at one level. The higher the level of calcification of the disc, the less it shrinks with this procedure. Therefore, you will get the most shrinkage with a soft herniated disc.

Patients who have hardware or have undergone invasive surgery may not be good candidates for this procedure.

Results will occur over a period of time, such as 6 to 12 months for disc shrinkage to occur. Treatment is not covered by insurance. This procedure is not FDA approved.